Association Between Fatigue and Falls Risk Among the Elderly Aged Over 75 Years in China
The Chain Mediating Role of Falls Efficacy and Lower Limb Function
Bibliographic Data
| ID | 22077641 |
|---|---|
| Authors | Yudi He (PLA Academy of Military Science), Huaguo Zhang (0000-0002-5331-9926, Capital Medical University), Mi Ryeong Song (0000-0003-3575-848X, PLA Academy of Military Science), Mi Song, Hongyi Wu (0009-0008-5313-7701, Chinese PLA General Hospital), Hongying Pi (0000-0001-7912-4070, Chinese PLA General Hospital, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 850533-850533 |
| Publication date | 2022-03-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.850533 |
| PMID | 35372221 |
| OpenAlex | W4220682721 |
| Language | EN |
| References cited | 43 |
Background Although fatigue has been shown to be strongly associated with falls risk, very few studies have focused on its mechanism involved in community-dwelling older subjects. The purpose of this study was to explore the relationship between fatigue and falls risk and its internal mechanism by constructing a chain mediation model. Methods A cross-sectional study design was adopted. A convenience sample of 270 older adults was recruited from July to October 2021 in an urban community, in Beijing, China. The participants completed the 14-item Fatigue Scale (FS-14), Falls Efficacy Scale International (FES-I), the Short Physical Performance Battery (SPPB) and Fall-Risk Self-Assessment Questionnaire (FRQ) to measure fatigue, falls efficacy, lower limb function and falls risk. The theory of unpleasant symptoms was used as a conceptual framework. Structural equation modeling (SEM) was utilized to test the hypothetical model. Results The overall fit of final model was found to be satisfactory: χ 2/df = 1.61, CFI = 0.971, TLI = 0.962, RMSEA = 0.049 ( 95% CI 0.030/0.066) and SRMR = 0.023. Fatigue had a direct effect on falls risk (β = 0.559, S.E . = 0.089, 95% CI 0.380/0.731), and it also had indirect effects on falls risk (β = 0.303, S.E . = 0.072, 95% CI 0.173/0.460) through mediating factors. Falls efficacy and lower limb function were the main mediating variables, and there was a chain mediating effect (β = 0.015, S.E . = 0.010, 95% CI 0.003/0.046). Conclusions Our study suggests that fatigue can influence falls risk among the elderly in China. There are many mediating paths between fatigue and falls risk. These results may help healthcare professionals to better understand the inherent relationship between fatigue and fall risk that may benefit older adults
Cross-sectional study · Environmental health · Injury prevention · Mediation · Physical therapy · Poison control · Structural equation modeling · Balance, Gait, and Falls Prevention · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Musculoskeletal pain and rehabilitation
Development of a fatigue scale
Development and initial validation of the Falls Efficacy Scale-International (FES-I)
A Short Physical Performance Battery Assessing Lower Extremity Function
Cutoff criteria for fit indexes in covariance structure analysis
Common method biases in behavioral research
Prevalence of Fear of Falling and Its Association With Physical Function and Fall History Among Senior Citizens Living in Rural Areas of China
The Association of Falls with Instability
Associations of Midlife to Late Life Fatigue With Physical Performance and Strength in Early Old Age
Self-efficacy
Physical Fitness among Community-Dwelling Older Women with and without Risk of Falling—The Taipei Study, Taiwan
Longitudinal Association Between Subjective Fatigue and Future Falls in Community-Dwelling Older Adults
Direct and Indirect Effects
Human agency in social cognitive theory
Alternative Ways of Assessing Model Fit
| Citation velocity | historical |
|---|---|
| Highly cited | No |